Displaying 207641-207650 of 1611142 results.
ID:
207641
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207642
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207643
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207644
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207645
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207646
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207647
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207648
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207649
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207650
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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